Stadnyk K, Calder J, Rockwood K
Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
J Clin Epidemiol. 1998 Oct;51(10):827-35. doi: 10.1016/s0895-4356(98)00061-4.
The Short Form-36 Health Survey (SF-36) is a widely used measure of health-related quality of life, however, its suitability for frail older persons is not well documented. This study examines the measurement properties of the SF-36 in a frail older patient population. Patients consecutively admitted to two geriatric services (n = 146) were administered the SF-36 and comparative measures on admission and discharge. Internal consistency (0.75-0.91) and test-retest reliability (0.24-0.80) did not meet standards for clinical application of the tool. Four subscales were moderately correlated with comparative measures (Physical Function 0.53 to -0.76; Bodily Pain -0.61; Vitality -0.58; Mental Health -0.63). The results of effect size, standardized response mean, and relative efficiency statistics were consistent in documenting only minimal change for the SF-36 subscales. The SF-36 appears to be reliable and valid, although its ability to monitor clinical change for frail older patients is questionable.
简明健康状况调查问卷（SF-36）是一种广泛应用于衡量健康相关生活质量的工具，然而，其在体弱老年人中的适用性尚未得到充分记录。本研究考察了SF-36在体弱老年患者群体中的测量特性。连续入住两个老年科的患者（n = 146）在入院和出院时接受了SF-36及相关对比测量。内部一致性（0.75 - 0.91）和重测信度（0.24 - 0.80）未达到该工具临床应用的标准。四个分量表与对比测量有中度相关性（生理功能0.53至 -0.76；身体疼痛 -0.61；活力 -0.58；心理健康 -0.63）。效应量、标准化反应均值和相对效率统计结果一致表明，SF-36分量表仅有极小的变化。SF-36似乎具有可靠性和有效性，尽管其监测体弱老年患者临床变化的能力存在疑问。
